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Updated: Feb 6, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Activating transcription factor 3 in cardiovascular diseases: a potential therapeutic target
Heng Zhou1,2,3, Ning Li1,2,3, Yuan Yuan1,2,3
1Department of Cardiology, Renmin Hospital of Wuhan University, JieFang Road 238, Wuhan, 430060, People's Republic of China.
Abstract:
Cardiovascular diseases (CVDs) are the primary causes of death worldwide. Among the numerous signaling molecules involved in CVDs, transcriptional factors directly influence gene expression and play a critical role in regulating cell function and the development of diseases. Activating transcription factor (ATF) 3 is an adaptive-response gene in the ATF/cAMP responsive element-binding (CREB) protein family of transcription factors that acts as either a repressor or an activator of transcription via the formation of homodimers or heterodimers with other ATF/CREB members. A appropriate ATF3 expression is important for the normal physiology of cells, and dysfunction of ATF3 is associated with various pathophysiological responses such as inflammation, apoptosis, oxidative stress and endoplasmic reticulum stress, and diseases, including CVDs. This review focuses on the role of ATF3 in cardiac hypertrophy, heart failure, atherosclerosis, ischemic heart diseases, hypertension and diabetes mellitus to provide a novel therapeutic target for CVDs.
Insights
Activating transcription factor 3 (ATF3) plays a key role in cardiovascular diseases (CVDs). Understanding ATF3's function offers potential new therapeutic strategies for heart conditions.
Area of Science:
- Molecular Biology
- Cardiology
- Genetics
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of mortality.
- Transcriptional factors critically regulate cellular functions and disease development.
- Activating transcription factor 3 (ATF3) is an adaptive-response gene within the ATF/cAMP responsive element-binding (CREB) family.
Purpose of the Study:
- To review the multifaceted role of ATF3 in various cardiovascular pathologies.
- To explore ATF3 as a potential therapeutic target for CVDs.
Main Methods:
- Literature review focusing on ATF3's involvement in cardiac hypertrophy, heart failure, atherosclerosis, ischemic heart diseases, hypertension, and diabetes mellitus.
- Analysis of ATF3's function as a transcriptional regulator (repressor/activator) through homodimers or heterodimers.
Main Results:
- Dysfunctional ATF3 expression is linked to inflammation, apoptosis, oxidative stress, and endoplasmic reticulum stress.
- ATF3's role is implicated in the pathogenesis of major cardiovascular conditions.
Conclusions:
- Appropriate ATF3 expression is vital for cellular homeostasis.
- Targeting ATF3 presents a promising avenue for novel therapeutic interventions in CVDs.
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